Dr. Babloo Thomas Mani

Sleep paralysis most often occurs in people who have narcolepsy or sleep apnoea, but it can affect anyone. Episodes involve not being able to speak or move while falling asleep or upon waking. This usually lasts one or two minutes and is often frightening. The main treatment is improved sleep habits (sleep hygiene) including going to bed at the same time every night, ensuring a comfortable sleep environment free of distractions and avoiding caffeine before sleeping

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have mentioned low back pain with radiating pain in legs which is an indication that there is a nerve compression in spine. Also mention whether there are any other neurological symptoms in legs like numbness, weakness, paresthesias etc also present? I will require: - a detailed neurological charting of lower limbs (motor, sensory and evaluation of deep reflexes) preferable done by an experienced doctor or a physical therapist - dynamic x ray of your involved region of spine done - mri ls spine meanwhile you should continue with: to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you, also medications for neuropathic symptoms like tab pregabalin or tab gabapentin can be added in small doses for relief of leg symptoms - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

Dip your feet inside bucket full of lukeworm water for 15 min and do some physical acitivity regularly for a week.You will find differences.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually you are very young to have pains in your back and knee region. My advise will be get your inflammatory markers and vitamin d levels done. Start with physical therapy, anti inflammatory medication, ice packs at home and let me know in 2-3 weeks time how you are feeling. Do not hesitate to contact me if you need any further assistance. Thanks & regards

Bone density shows less no. it may causes knee pain & pain at shin of tibia.please visit orthopaedic surgeon n then physiotherapist doctor for better treatment...

The burning sensation can be due a variety of conditions. So its good to take her to a doctor for a thorough examination (checking for vital signs and systemic examination) and do some tests like CBC, ESR, blood sugar, urine routine etc which the doctor can decide. Please do not ignore any symptom. Revert after that to inform about the diagnosis and treatment.

Hi, This is Dr Akshay from Fortis Hospital, New Delhi. I need to understand the intensity of back pain, any radiation to any legs and any other neurological symptoms for me to give an answer. Thanks & Regards Dr Akshay Kumar Saxena

Please Don't give pressure on operated limb for 6 weeks Give him Tab hadjod by Himalaya 2 2 for 3 mths, for faster healing Continue your current treatment

If she does not have any problem now you can have sex.The frequency depends on her stamina and your mood

I would recommend seeing a physiotherapist for assessment, diagnosis and treatment of the underlying cause of your difficulty standing after sitting if you haven't already. One of the most common clinical causes of this complaint is a lumbar disc bulge although it could be due to other conditions such as coccydynia, spinal degeneration, facet joint sprain etc.

For pain ask her to take tablet paracetamol and also start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months

To remain healthy and Fit ,you should follow 3 steps in your life 1.BALANCED DIET 2.EARLY MORNING BRISK MORNING WALK for 30 minutes and 10 minutes evening walk after Dinner 3.DRINK 6-8 Glasse of water daily. As 60% of our body is made of water, it acts as a carrier of essential nutrients inside our body. Loosing as little as 5% of body's weight as water can cause headache, fatigue and lower your muscle strength. To stay healthy, an adult should drink at least 8 glasses of water everyday. Balanced Diet= 60% Carbohydrates + 20% Fats + 20% Proteins 1. Carbohydrates: Our main source of energy. Stored in liver and muscles. Carbohydrates are used the most by our body duringexercise. Hence, it is important for people who exercise regularly to consume a diet rich in carbohydrates. (a) Instant/rapid carbohydrates energy sources: Banana, Milk, Sweets, Sugarcane juice. (b) Slow carbohydrates energy sources: Beans, Bread, Cereals, Potato, Pulses, Rice. 2. Proteins: Essential for growth, repair of muscle, skin, hair and body tissues. Protein deficiency leads to low immunity, hairfall, feeling of tiredness. Proteins are not stored in our body as any excess protein is converted to energy or fat. Hence, a person requires protein intake every day. When the body does not get enough carbohydrates to fuel itself, it falls back on protein bank. That is why people who follow starvation diets or go on fasting lose muscle tissue. (a) Major protein sources: Egg white(white portion), Milk, Soybeans/Soymilk, Fish, Cheese, Tofu. (b) Other protein sources: Beans with wheat, Nuts, Curd, Yogurt (Dahi). 3. Fats: Required and healthy when taken in small amounts. Excess fat leads to weight gain, increase in bad cholesterol (LDL) and heartproblems (a) Major fats sources: Egg yolk (Yellow portion), Avocados, Whole Milk, Butter, Cheese, Nuts. (b) Other fats sources: Corn, Vegetable/Olive oil, Biscuits, Flaxseeds(San Beej). 4. Vitamins and Minerals: Critical for normal functioning of organs and processes within our body. They do not provide energy directly but work behind the scenes to break down food into energy. 5. Fiber: It helps retain water and in making our stools softer to avoid constipation. Intake should be 25 to 35 grams a day. 6. Calories: A measure of how much energy food or drink contains. On an average, a man needs around 2,000 calories a day and a woman 1700 calories a day to maintain his weight and good health. Number varies by person depending upon weight, age and how active the lifestyle is. 7. Guideline: Each day have 3 main meals, 2 snacks, 5 pieces of fruit and at least 1 glass of milk. 4. BRAMARI PRANAYAM or Bee Breath 1.Close your eyes. Focus on your breathing. 2.Place your thumbs in your ears, your index fingers above your eyebrows, and your remaining along the sides of your nose. Keep each pinky finger near a nostril. 3.Breath in deeply through the nose. First, feel the diaphragm move down, allowing the lungs to expand and forcing the abdomen out; then feel your chest expand with your collar bones rising last. .4.Use your pinkies to partially close each nostril. Keep your lungs filled. .5.Breathe out through the nose while humming. Note that the humming sound should originate in your throat, not as a result of your partially-blocked nostrils. 6.Repeat twenty times.starting from 5 times In Nut-Shell,THINK GOOD,EAT GOOD,SLEEP GOOD andby adopting these 3 point in your life you will remain fit as ever.

It's common, nothing to worry, just dip a towel in hot water and apply on your calf muscles, you can use some volini spray also. Always cool down and do stretches at last to relax your muscles and bring back the blood flow to normal.

apply volini gel on neck. do warm fomentation. do neck exercises in pain free period. avoid high pillow. it will help you.

Since there is marrow contusion on the mri, it means that the bones are also affected. Best would no to rest your knees and do extensive physios. Use a brace to support the knee in the meanwhile. After 6 weeks of you still have pain or instability in the knees, consider arthroscopic surgery for both menisci and acl reconstruction.

Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contact your nearest hospital or family doctor. If it does not give relief in 4-5days, contact me again.

Hello, tk, plenty of water to hydrate your body. Tk homoeo medicines: @ thuja occ 30-6 pills, thrice a day. @ causticum 200-6 pills, dly, morng. Tk care.

physiotherapy treatment and after relief do stretching exercise posture correction must avoid long sitting toward bending lifting weight

Yoga and physical exercise is much better to you. Homeopathic medicine will reduce you pains but not immediately it will take time.